Judeth Petersen, M.A., LPC
NPI 1033263652ActiveIndividual· Counselor· Gillette, WY
Counselor (M.A., LPC) in Gillette, Wyoming, licensed in WY and ND, with an NPI issued in January 2007.
Overview
| NPI | 1033263652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., LPC |
| Sole proprietor | No |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Aug 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LPC-1129 | WY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1512 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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